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Initially, the main justification for the global lockdowns was that they were necessary to prevent a crush of patients from overwhelming hospital intensive-care units. But Sweden has shown that shutting down the economy and essentially imprisoning the young and healthy are not necessary to avoid ICU overcrowding. Despite no lockdowns and few social-isolation controls other than proper spacing in restaurants and a ban on gatherings of more than 50 people, the Swedish hospital system never experienced anything remotely like the crush of ICU patients in Italy, Spain, and New York City. Sweden’s ICU COVID-19 patient census (updated nationwide daily) peaked in early April, with about 50 new admissions daily. Now it is gradually declining to about 35 new ICU cases a day.
Unlike its Nordic neighbors and everywhere else, Sweden doesn’t have to worry about when to reintroduce its “vulnerable” isolated population to social mixing and risk their exposure to the virus. That has been already happening naturally and has generated a defensive reservoir of population viral resistance to COVID-19 that puts it — just like SARS, MERS, and the seasonal flu — in Sweden’s rearview mirror.
Sweden doesn’t have to worry about when and how to end social isolation. They don’t have to decide who to keep locked down and who to let out. They don’t have to get into civil-liberty arguments over involuntary restrictions or whether to fine people for not wearing masks and gloves.
Of course, Sweden paid a price during the pandemic. But whatever price the Swedes paid for their COVID-19 policy, they will tell you it was worth it. And it is easy to figure out that price. They never cratered their economy or blocked nonemergency surgeries. They had more deaths than their Nordic neighbors, but nothing even close to the 650 deaths per million the U.S. suffered during the 1968 Hong Kong flu, a pandemic that was handled with few social-isolation controls and no lockdowns.
Now many countries and U.S. states are beginning to follow Sweden’s lead. But California and other states continue to pile up isolation-induced health costs and blow gigantic holes in their budgets with lockdowns that, nationwide, have generated more than 30 million newly unemployed.
